CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Saint Joseph London

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.1× the $35 Medicare rate · typically $30–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $8 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $38 This hospital $30 Cash price $49 Hospital's list price $136

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 2 charge more and 5 charge less, among the 9 KY hospitals compared.

Cheapest $22 Priciest $32

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $38 (about 1.1× the $35 Medicare rate). Saint Joseph London charges insurers about $30, or about $49 in cash — below the fair price — a good deal. Located in London, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $29 - $206 83%
Blue Cross Blue Shieldmajor $30 86%
Aetnamajor $29 83%
Humanamajor $29 - $98 83%
Molina $19 54%
WellCare $23 66%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 Saint Joseph Lane, London, KY 40741
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals